Organization Active NPI

Invasive Gastro-Intestinal Medical Service PSC

  • Medical Specialty Clinic/Center
  • Ponce, PR
National Provider Identifier
1992932867
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
8646 Issued in PR
Legal business name
INVASIVE GASTRO-INTESTINAL MEDICAL SERVICE PSC
Practice address
909 Ave Tito Castro Ste 612
Ponce, PR 00716-4722
Phone
(787) 848-7770
Fax
(787) 848-5818
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pedro F Panelli, MDNPI 1144226051
Title
Doctor
Phone
(787) 848-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 8646 PR Primary

Addresses

Primary practice location

909 Ave Tito Castro Ste 612
Ponce, PR 00716-4722

Mailing address

PO Box 800727
Coto Laurel, PR 00780-0727
Phone (787) 848-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110719000302 PR Part B Supplier - Clinic/Group Practice 0143498162 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

909 Ave Tito Castro
Ste 612
Ponce, PR 00716
Phone (787) 848-7770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1992932867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800727",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800727",
            "telephone_number": "787-848-7770",
            "fax_number": "787-848-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 612",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164722",
            "telephone_number": "787-848-7770",
            "fax_number": "787-848-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVASIVE GASTRO-INTESTINAL MEDICAL SERVICE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "PANELLI",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-848-7770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "8646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.